Healthcare Provider Details

I. General information

NPI: 1841178191
Provider Name (Legal Business Name): GABRIELA FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELA MAGANA

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 W HILLCREST DR
THOUSAND OAKS CA
91320-2734
US

IV. Provider business mailing address

1200 W HILLCREST DR
THOUSAND OAKS CA
91320-2734
US

V. Phone/Fax

Practice location:
  • Phone: 888-898-3806
  • Fax:
Mailing address:
  • Phone: 888-898-3806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95036022
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: